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Permit Permanent Sign SN-93-975 - DONNELLY MARTIAL ARTS
Office Copy SIGN APPLICATION CITY OF SOUTH BURLINGTON, VERMONT / © _ _ J ys Date /� 19 � Permit Number Applicant �� ci. ii/J�(i��/ � ��/ S -7( /Q /g 60 C_L/"s /d xi No Street _ t17P) /-�2 - Town or City State Phone No. Location of sign ��7� �-- Name of business No. Street Square footage of sign _ 33-7J� Height of Sign / 93 Estimated cost/3�S � ©© Date of erection Name of Erector `Q/AE I gl E-,-#0)9A) ©�ddress 1 ^ /� Q Town or City Q State Phone No. Consent of Owner: 1% The above named person is duly authorized to make application on my behalf. I believe thenstateontained herein are true to the best of my b�now dg 1 _ Signature of Applicant Si atur of Owne DO NOT WRITE BELOW IS INE Application: REJECTED Reason for rejecti Issued to /iGi�' 1�/!/-�C>-z.✓ OD Fee Computation Code Officer Date ���19 Date n NA rip �i✓Ai.�1`�ICt-ilT � 5 L,nM05 -rc'ZD reJ ;�i�N "i�VL .Dr''` /Cn aQ�o�� aa�� TM in, Fitness and Self -Defense No Text